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Home · Centers for Medicare & Medicaid Services · Supervisory Health Insurance Specialist

Summary

This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare and Medicaid Innovation(CMMI), Patient Care Models Group (PCMG), Division of Payment Models (DPM).

As a Supervisory Health Insurance Specialist, GS-0107-14, you will direct staff responsible for the development and implementation of comprehensive health care and payment policies for advanced episode-based payment models.


Duties

  • Direct the activities necessary to ensure the successful completion of planning, development, and implementation of new and existing episode payment models.
  • Implement and manage existing episode-based payment models and demonstrations that test innovative healthcare payment and delivery approaches to examine implications for Medicare and/or Medicaid policy and regulations.
  • Lead and manage the development of comprehensive health care and payment policies for new models, including developing alternative payment methodologies, writing requests for applications, and working with stakeholders on model feedback.
  • Represent the Director at meetings, on task forces, and working groups, internally and externally, as needed, and assemble and direct teams or task forces for the duration of special assignments or projects.

Requirements

Conditions of employment

  • You must be a U.S. Citizen or National to apply for this position.
  • You will be subject to a background and suitability investigation.
  • You may be required to file a Confidential Financial Disclosure (OGE-450) within 30 days of appointment and annually thereafter.
  • All Federal employees are required to have Federal salary payments made by direct deposit to financial institution of their choice.
  • If you are selected for this position, the documentation that you present for purposes of completing the Department of Homeland Security (DHS) Form 1-9 will be verified through the DHS "E-Verify" System.
  • If you are a male applicant born after December 31, 1959, certify that you have registered with the Selective Service System or are exempt from having to do so.
  • You may be required to serve a one-year supervisory probationary period.

Qualifications

ALL QUALIFICATION REQUIREMENTS MUST BE MET BY THE CLOSING DATE OF THIS ANNOUNCEMENT.

Your resume (limited to no more than 2 pages) must include detailed information as it relates to the responsibilities and specialized experience for this position. Evidence of copying and pasting directly from the vacancy announcement without clearly documenting supplemental information to describe your experience will result in an ineligible rating. This will prevent you from being considered further.

In order to qualify for the GS-14, you must meet the following: You must demonstrate in your resume at least one year (52 weeks) of qualifying specialized experience equivalent to the GS-13 grade level in the Federal government, obtained in either the private or public sector, to include:

  1. Analyzing policies to determine the impact on program operations; AND
  2. Collaborating with teams and a range of stakeholders on model development; AND
  3. Developing or implementing alternative payment models.
Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional, philanthropic, religious, spiritual, community, student, social). Volunteer work helps build critical competencies, knowledge, and skills, and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

Click the following link to view the occupational questionnaire: https://apply.usastaffing.gov/ViewQuestionnaire/13100765

Education

This job does not have an education qualification requirement.

Additional information

Bargaining Unit Position: No.
Tour of Duty: Flexible.
Recruitment Incentive: Not Authorized.
Relocation Incentive: Not Authorized.
Financial Disclosure: Required.

Workplace Flexibility at CMS: This position has a regular and recurring reporting requirement to the CMS office listed in this announcement. CMS offers flexible working arrangements and allows employees the opportunity to participate in alternative work schedules at the manager's discretion.

The Interagency Career Transition Assistance Plan (ICTAP) and Career Transition Assistance Plan (CTAP) provide eligible displaced federal employees with selection priority over other candidates for competitive service vacancies. To be qualified you must submit the required documentation and be rated well-qualified for this vacancy. Click here for a detailed description of the required supporting documents. A well-qualified applicant is one whose knowledge, skills and abilities clearly exceed the minimum qualification requirements of the position. Additional information about ICTAP and CTAP eligibility is on OPM's Career Transition Resources website at www.opm.gov/rif/employee_guides/career_transition.asp.

Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.

A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.

Review our benefits

Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.